Active NPI
Ekengren Chiropractic Inc.
- Chiropractor
- Valencia, CA
National Provider Identifier
1366745531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC 27220
- Legal business name
- EKENGREN CHIROPRACTIC INC.
- Practice address
- 28212 Kelly Johnson Pkwy Ste 120
Valencia, CA 91355-5085 - Phone
- (661) 254-9400
- NPI assigned
- Dec 9, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jessica M Ekengren, D.C.
- Title
- Doctor
- Phone
- (661) 254-9400
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC 27220 | CA | Primary |
Addresses
Primary practice location
28212 Kelly Johnson Pkwy Ste 120
Valencia, CA 91355-5085
Mailing address
28212 Kelly Johnson Pkwy Ste 120
Valencia, CA 91355-5085
Phone (661) 254-9400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
28212 Kelly Johnson Pkwy
Ste 120
Valencia, CA 91355
Phone (661) 254-9400
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Valencia, CA
- NPI 1528179447
-
- Internal Medicine Physician
- Palmdale, CA
- NPI 1902175441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461801600000",
"number": "1366745531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 120",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555085",
"telephone_number": "661-254-9400",
"fax_number": "661-254-9495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28212 KELLY JOHNSON PKWY STE 120",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913555085",
"telephone_number": "661-254-9400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EKENGREN CHIROPRACTIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-09",
"last_updated": "2016-04-28",
"status": "A",
"authorized_official_last_name": "EKENGREN",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "661-254-9400",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "CA",
"license": "DC 27220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.